Individual
TASHA L ROSENDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 FAIRINGTON VILLAGE DR, LITHONIA, GA 30038-1448
(814) 807-9524
Mailing address
PO BOX 2133, LITHONIA, GA 30058-1047
(814) 807-9524
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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